Membership form

First Name *

Last Name *

Email *

Address

Annual Membership Fees *

Individual - $5
Family - $10
Community Organisation - $100
Business or Government agency - $150
Annual plot rental (optional, when available): 2.4m x 1.5m - $60

All fees are due on the 1st of July each year. (But new members who pay their membership fee after 1st January will not need to renew until 1st July in the following calender year.)

Payment Type: *

Cash (I have paid or will pay at the Gardens)
Direct Deposit (Reference: Your surname)

Account Name: Coffs Regional Community Gardens Association Inc BSB: 533 000 Account Number: 10504435